Mary Kelly Green MD

NPI 1487835617 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1487835617
Gender Female
Enumeration Date 11/15/2007
Last Updated 05/16/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
204 GATEWAY N
SUITE A
MARBLE FALLS TX, 78654-6361, US
Phone (830) 693-5868
Fax (830) 798-8017
Business Location
204 GATEWAY N
SUITE A
MARBLE FALLS TX, 78654-6361, US
Phone (830) 693-5868
Fax (830) 798-8017
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Mary Kelly Green MD NPI is 1487835617, taxonomy code is 390200000X Mary Kelly Green MD physically located at 204 Gateway N, Marble Falls TX, 78654-6361. NPI Number Mary Kelly Green MD has the Individual type.

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1487835617 NPI number is provided on an as is basis without warranty of any kind. 1487835617 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Kelly Green MD are for informational purposes only.